Individual
MIRINDA ANN GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
132470
FL
208000000X
Pediatrics Physician
A166008
CA
208M00000X
Hospitalist Physician
ME132470
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022202700
—
FL
Enumeration date
12/12/2012
Last updated
03/23/2022
Update your record
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